TinyHineyRN

TinyHineyRN

Peds and PICU

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About TinyHineyRN

TinyHineyRN has 3 years experience and specializes in Peds and PICU.


Latest Activity

  1. Mandated Flu vaccine?

    I get the flu shot annually for two reasons: 1. I work in the Peds ICU and not only come into contact with the flu a lot, but my patient population is particularly susceptible. 2. I can't afford to be out sick with the flu when all 12 of our beds ar...
  2. NICU nurse making the jump to PICU!

    The sheer fluid volumes alone will be a huge change! Yes, you can really give that whole liter bag AND 500ml of albumin AND a unit of PRBCs AND FFP!!!
  3. Thoughts on PCMH (now Vidant Medical Center)

    The test they give you is really to guide you through your orientation and is helpful to determine where your strengths and weaknesses are. When I started at PCMH as a new grad, they told us straight out that most new grads will not pass the exam bec...
  4. Question about specialty certifications

    I'm pretty sure you can do a CCRN cert for NICU. Its interesting though how there is no distinction in the actual CCRN cert designation between adults, peds, and neonatal. For instance, I am a Certified Pediatric Nurse. The letters behind my name are...
  5. Nurses can cry too

    Oh yeah I have totally cried, especially over the death of a patient who was very dear to me!
  6. Nursing as a first degree

    No nursing wasn't my first degree either, but my story is like a big, freaking circle!! I went to a university after high school and was pre-nursing. My sophomore year, I decided I didn't want to be a nurse, so I changed my major. My junior year, I d...
  7. How does a new grad become a CCRN?

    I had a friend a few years ago that couldn't find a job as an RN new grad. She also took a position doing flu shots and, while she didn't get a whole lot of varied experience, she can do one heck of an IM! Also, I think you may be a little misguided ...
  8. fun: what does this photo say to you?

    SOMEONE is about to lose their callbell privileges!
  9. What's an IO

    I am never, EVER amazed at the things that come out of people's mouths in PALS!
  10. I have an ADN and didn't need stats for nursing school but I did for my other BS. It hasn't changed my nursing practice but I have found it helpful when reading studies. On a different note, I had a health ed professor tell us that statistics are to ...
  11. Heparin flush and blood collection

    The practice in our PICU is to flush the line (PICC, port, art line, whatever) with 10cc NS, waste 10cc blood, then collect the coag. The only time I have had a problem with this is the other day when I was drawing a coag from an arterial sheath whic...
  12. Nervous!

    Congrats on making the decision to go to PCICU! I transferred to PICU from the peds floor about 5 months ago and I definitely KNOW I made the right decision. My last day was a little scary. I remember thinking the same thing, "do I know what I am get...
  13. Blood transfusion

    I think another issue is that there isn't a rate in the order, or at least a time frame to infuse!
  14. IV and Med HElp

    When you prime the IV line quickly, air will collect in the syringe ports. You have to flick the air out. Otherwise you will always have tiny amounts of air with a push no matter how conscientious you are of air in your syringe.
  15. Isotonic vs hypotonic vs hypertonic

    I had a teacher in nursing school that taught us this: Water is stupid and will follow sodium (salt, solute, whatever you choose) wherever it goes. Best rule on osmosis I have heard in a long time!